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PHTH 564 - ICU > NICU > Flashcards

Flashcards in NICU Deck (53)
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1

8 main things that bring bbs to the NICU?

1. RDS
2. Meconium aspiration syndrome
3. Hypoxic ischemic encephalopathy
4. Congenital diaphragmatic hernia
5. abdominal wall defet=cts
6. neuromuscular disorders
7. orthopaedic issues
8. PREMATURITY

2

NICU is a ______ environment due to premature bbs weakened immune system

protected

3

what is meconium?

thick black tar like fluid that fills bb's intestines in womb; if bb is in distress may expel the meconium and inhale it

4

Average gestation age for an infant is ____ weeks

40

5

Bbs born at 40 weeks are referred to being born __ ___

at term

6

Bb's born earlier than __ weeks are considered to be premature / preterm

37

7

Outcomes are ______ related to gestational age at birth; bbs born _____ will have a higher incidence of mortality and morbidity

inversely; earlier

8

Age of viability in BC?

23 weeks

9

Large role in the NICU not directly related to bb?

supporting family!!!

10

Why does corrected gestational age matter?

1. for accurate ax of developmental delays
2. to reduce stress for parents (who might compare their bb to other bbs of the same chronological age?

11

Until term, a bb's CGA is calculated by taking their gestational age and adding their age in ___

weeks

12

After term, how is CGA calculated?

by taking chronological age and subtracting how many months the premature baby was

13

Age is corrected with CGA until about __ years

2

14

_____ is an important predictor of outcomes

birthweight

15

Average birth weight?

3500g

16

Low birth weight?

less than 2500 g

17

Very low birth weight?

less than 1500g

18

Bb's woh are not growing adequately in utero are described as having _______ ___ _____

intrauterine growth restriction

19

4 common causes of prematurity ?

1. pregnancy of multiples
2. fetal anomalies
3. maternal health issues
4. associations with low socio-economic status/poor prenatal care

20

2 resp complications of prematurity ?

1. bronchopulmnoary dysplasia
2. chronic lung disease

21

2 neurological complications of prematurity?

1. intraventricular hemorrhage
2. periventricular leukomalacia

22

Vision complication of prematurity ?

retinopathy of prematurity

23

Gut complication of prematurity ?

necrotizing enterocolitis

24

Cardiac complication of prematurity?

patent ductus arteriosus

25

RDS is caused by a lack of ______ in premie bbs

surfactant

26

RDS will have a ____ ____ appearance on CXR

ground glass

27

Bronchopulmonary dysplasia (BPD) = ____ and ____ of lungs

scarring; stiffness

28

BPD defined as O2 dependence at ___ weeks CGA

36

29

What 2 things might BPD be accompanied by?

1. pulmonary HTN
2. abnormal pulmonary vascular development

30

HR of infant?

120-170bpm